By Robert F. Weir (auth.), Arthur L. Caplan, Robert H. Blank, Janna C. Merrick (eds.)
In April 1982, an youngster boy was once born in Bloomington, Indiana, with Down syndrome and a faulty, yet surgically correctable, esophagus. His mom and dad refused to consent to surgical procedure or intravenous feeding. The medical institution unsuccessfully sought a courtroom order to strength therapy, and appeals to better courts additionally failed. the kid, pointed out as child Doe via the scoop media, to that end died. The occasions in Bloomington grew to become the catalyst for motion by means of the Reagan management, the courts, and Congress that culminated in a federal coverage that makes failure to regard newborns with disabilities a kind of kid forget. This publication facilities at the public coverage facets of withholding therapy from significantly sick newborns who're disabled. particularly, it offers with why the coverage used to be enacted and what impression it has had on overall healthiness care employees, households, and babies. a few of the individuals to this booklet spearheaded the early debate on withholding remedy. Anthony Shaw's manhattan instances journal article in 1972 used to be the 1st to deal with those concerns within the renowned press. the next yr, he released a similar article within the New England magazine of medication. additionally showing during this comparable factor of NEJM, was once the pathbreaking learn, coauthored via A. G. M. Campbell, on withholding remedy within the precise care nursery at Yale-New Haven medical institution. each one of those articles promoted a lot public discussion.
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Extra resources for Compelled Compassion: Government Intervention in the Treatment of Critically Ill Newborns
Sci. Med. 20,1109-1117. Weir, R. F. (1984) Selective Nontreatment of Handicapped Newborns (Oxford University Press, New York), p. 143. Weir, R. F. and Bale, J. , Jr. (1989) Selective nontreatment ofneurologically impaired neonates, in Neurologic Clinics, vol. 7 (Bernat, J. ), W. B. Saunders, Philadelphia, pp. 807-822. Young, E. W. D. and Stevenson, D. K (1990) Limiting treatment for extremely premature, low-hirth-weight infants (500 to 750 g). Am. J. Dis. Child. 144,549-552. Conflict, Compromise, and Symbolism The Politics of the Baby Doe Debate Janna C.
In a number of speeches and written statements, he emphasized his belief that infanticide was common in the nation's hospitals, and along with abortion and euthanasia, was a step along the "slide to Auschwitz" (Brown, 1986). This is the kind of language Edelman would describe as evocative, but not an instrument of reasoning or analysis. Considering Koop's standing as an eminent pediatric surgeon and as the surgeon general, it can be viewed as a Conflict, Compromise, and Symbolism 49 very powerful use of condensational symbols.
Dying infants for whom the provision of medical treatment would be "futile in terms of the survival of the infant;" and 3. Infants for whom the treatment would be "virtually futile ... and ... " Each of these exceptions is described in ambiguous terminology, and each has been the subject of considerable discussion and debate since these exceptions were published in 1985. An equally ambiguous part of the regulations immediately precedes the description of the three exceptions. " This statement, in contrast to the description of the three exceptional situations, has received relatively little attention in the literature on the 24 Weir regulations or in the more general literature on the issue of technological feeding.